Expected loss — where it appears
Named by 3 essays across 2 fields — each of them below, with the objects they name alongside it.
The test is a point somebody chose
A test reported as 90% sensitive and 95% specific is not two properties of a test. It is one property read at a threshold, and the threshold that minimises harm runs from 3.05 standard deviations of the score at a prevalence of one in ten thousand to −0.12 at one in two — 45% of cases detected at one end and 99.9% at the other.
A threshold that jumps
When a test's scores are equally spread in the healthy and the diseased, the harm-minimising threshold slides smoothly as the prevalence changes. Make the diseased scores twice as spread — the ordinary shape of a group that mixes mild and severe cases — and keep the published 90/95 pair, and the best threshold flags 81.1% of healthy people at a prevalence just under 25.7% and every healthy person just above it. At three times the spread it jumps from 45.7% to everyone at 13.0%. A threshold that jumps cannot be given as a formula; it has to be given with the second-best point beside it.
The level a limit should be set at
When a failure costs twenty times a standard deviation of margin, a t limit on fifteen exponential observations set at the conventional 97.5% has an expected loss of 2.143. Set at 99.95%, the same formula's loss is 1.263 — within 1% of the best any fixed multiple of s/√n can do, and ahead of both Hall's transformation and the fitted gamma family at their own best levels. Hall's is the worst at every level on every source. Choosing the level does more than choosing the construction, and the correction that reads the sample is the one no level rescues.
Named alongside it
The objects these essays reach for when they reach for this one.
Base rateDecision thresholdROC curveScreeningSensitivity and specificityCoverageDecision theoryLikelihood ratioPredictive valuePrevalenceSample sizeSignificance level